Individual
CARLY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S 9TH ST, PHILADELPHIA, PA 19107-6103
(215) 829-6500
Mailing address
1500 E MEDICAL CENTER DR # TC3116, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD480910
PA
390200000X
Student in an Organized Health Care Education/Training Program
4351044778
MI
Other
Enumeration date
06/21/2019
Last updated
06/12/2023
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